Permit (4) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2022-00311
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/15/2022
Parcel: 2S112BD00100
Jurisdiction: Tigard
Site address: 14640 SW 76TH AVE
Project: Bonita Villa Apartments Subdivision: DURHAM ACRES Lot: 65
Project Description: Interior plumbing for TI: Replacing(24)tub/showers,(2)2"floor drains/sink,(48)sinks, (6)clothes washers,and
(24)water closets; Installing(1)backflow preventer, (2)expansion tanks, (6)hose bibs, (2)primers,(2)water
heaters,and(1)water piping/DWV.
Contractor: RTG PLUMBING& MECHANICAL INC Owner: HOUSING AUTHORITY OF WASHINGTON COLIN
81105 GRONNEL RD 111 NE LINCOLN ST #200-L
SEASIDE, OR 97138 HILLSBORO, OR 97124
PHONE: 503-290-8813 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 08/09/2022 $31.27
Specifics: 6 ea Clothes Washer 08/09/2022 $150.12
2 ea Expansion Tank 08/09/2022 $25.02
Type of Use: MF 2 ea Floor Drain/Floor Sink/Hub 08/09/2022 $50.04
Class of Work: ALT 6 ea Hose Bib 08/09/2022 $150.12
Type of Const: 2 ea Primer 08/09/2022 $25.02
Occupancy Grp: 48 ea Sink 08/09/2022 $1,200.96
Stories: 24 ea Tub/Shower/Shower Pan 08/09/2022 $300.24
1 ea Water Piping/DWV 08/09/2022 $56.29
24 ea Water Closet 08/09/2022 $600.48
2 ea Water Heater 08/09/2022 $75.04
1 12%State Surcharge- 08/09/2022 $319.75
Plumbing
Total $2,984.35
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Plumbing Permit Application
Building Fixtures
■ ECCI
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eceivCl of Tigard Permit No.:Date/B
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 AUG0 2l
Plan Review Other Permit No.:
Date/By:
Inspection Line: 503.639.4175 CITY OF TIGAR r
Date Re loris: BI See age 2 or
Internet: www.tigard-or.gov _Vptified/Method: Supplemental information
TYPE OF WORK FEE*SCHEDULE
❑New construction ❑Demolition For special in ormadon use checklist
Description I Qty. I Ea. I Total
®Addition/alteration/replacement I ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ®Multi-family
Each additional bath kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler(_sq.ft.) Page 2
dOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:,Jgbf>'�'SrW 76TH AVE t f- l Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: TIGARD OR,97224
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: D Project name: BONITA VILLA Manufactured home utilities 50.03
Cross street/directions to job site:76TH AND BONITA Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 6 25.02
INTERIOR PLUMBING REPIPE AND FIXTURE REPLACEMENT Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
❑,PROPERTY OWNER ❑ TENANT Expansion tank 2 12.51
Name: HOUSING AUTHORITY WASHINGTON COUNTY
Fixture/sewer cap 25.02
Floor drain/floor sink/hub 2 25.02
Address: 111 NE LINCOLN ST,SUITE 200-L
Garbage disposal 25.02
City/State/ZIP: HILLSBORO OR,97124-3082 Hose bib 6 25.02
Phone:( 503 )846-4799 Fax:( ) Ice maker 12.51
❑ APPLICANT ❑`CONTACT PERSON Interceptor/grease trap 25.02
Business name: RTG PLUMBING&MECHANICAL Medical gas(value:$_) Page 2
Primer 2 12.51
Contact name: RYAN SUNNELL Roof drain(commercial) 12.51
Address: 81105 GRONNEL RD Sink/basin/lavatory 48 25.02
City/State/ZIP: SEASIDE OR,97138 Solar units(potable water) 62.54
Phone:(503 )290-8813 Fax::( ) Tub/shower/shower pan 24 12.51
E-mail: RYANCR'I'GMECHANICAL.COM
Urinal 25.02
CONTRACTOR Water closet 74 25.02
Water heater 2 37.52
Business name: RTG PLUMBING&MECHANICAL Water piping/DWV 1 56.29
Address: 81105 GRONNEL RD Other: 25.02
City/State/ZIP:SEASIDE OR,97138 Subtotal
Phone:( 503 )290-8813 Fax:( ) Minimum permit fee: $72.50
CCB Lie.:236421 Plumbing Lie.no.:PB2531 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE N �
Print name:RYAN SUNNELL Date: 08/08/2022 This permit application expires if a permit is not obtained withi 180 days
after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(es) Total Square Footage: Permit Fee:
Footing drain-1'100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100 37.52
Water Service-1st 100' 62.54 Medical Gas S stems'
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
minimum charge-1/2 hour and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours minimum charge-2 hours each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
uantity by FixtureType Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
Bath: Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
ElCar Wash: -Each Stall New exterior plumbing site utilities for any complex structure
Drive Ttall as defined in OAR918-780-0040.
Cuspidor/Water Aspiratore ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system.
-Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: 2" 2
3" Isometric or RUer Diagram
4 ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage -Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
lee Mach./Refri .Drains Comments regarding fixture work:
Oil Separator Gas Station
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet ti plumbing permit can be issued.
Urinal
Other Fixtures:
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